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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-shoulder-dystocia.html
July 01, 2023 - Shoulder dystocia and injuries: prevention and management. … delivery and documentation of sequence of maneuvers
Head delivered: (hh:mm:ss) ____:____:____
Shoulders … shoulder. … shoulder and pressure placed that is meant to abduct and extend the posterior shoulder. … This will flex and adduct the shoulders and should disengage the anterior shoulder to allow the body
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-shoulder-dystocia.html
July 01, 2023 - Sample Scenario for Shoulder Dystocia In Situ Simulation
AHRQ Safety Program for … an in situ simulation for shoulder dystocia. … Shoulder Dystocia Simulation Assessment Tool. … The posterior shoulder has been delivered. … Trigger #4
The posterior shoulder has been delivered.
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldu-safety-slides.html
July 01, 2023 - Slide 15: Shoulder Dystocia
Shoulder Dystocia
Slide 16: Key Safety Elements: Standardize When … Care provider clearly states the concern for shoulder dystocia. … Slide 18: Sample Checklist: Shoulder Dystocia
A sample checklist for shoulder dystocia management … Patient safety checklist No. 6: documenting shoulder dystocia. … Shoulder dystocia and injuries: prevention and management.
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www.ahrq.gov/patient-safety/reports/liability/baker.html
August 01, 2017 - The final, selected events were: Shoulder Dystocia, Post-Partum Hemorrhage, Intra‑Partum Fetal Death … Correlations Among the Mean Rankings for Each Event by L&D Phase
Unplanned Return
Shoulder … Event type (e.g., Shoulder Dystocia, Post-Partum Hemorrhage) mattered least during the Delivery phase … Unplanned Return (N=3); Shoulder Dystocia (N=3); Post‑Partum Hemorrhage (N=4); Intra-Partum Fetal Death … Correlations Among the Mean Rankings for Each Event
Unplanned Return
Shoulder Dystocia
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety-fac-guide.html
July 01, 2023 - Shoulder dystocia.
Obstetric hemorrhage.
Umbilical cord prolapse. … related to care during a delivery complicated by shoulder dystocia. … This approach can include—
The care provider clearly stating the concern for shoulder dystocia. … Slide 18: Sample Checklist: Shoulder Dystocia
Say:
A sample checklist for shoulder dystocia is … It provides suggested checklist items that teams can use for safe care during an episode of shoulder
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085textdescription.pdf
January 01, 2012 - Measure
Description
Percentage of patients, regardless of age, who gave birth vaginally (without shoulder … measures
Initial Patient
Population All patients, regardless of age, who gave birth vaginally (without shoulder … Equal to Initial Patient Population
Denominator
Exclusions Patients who had an active diagnosis of shoulder … )
Measure Description: Percentage of patients, regardless of age, who gave birth vaginally (without shoulder … )
Measure Description: Percentage of patients, regardless of age, who gave birth vaginally (without shoulder
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appa.html
August 01, 2022 - to deliver the shoulders, with documentation of the sequence of maneuvers
Announce elapsed time using … the delivery time of the shoulders
If the shoulders are not delivered within 3 minutes of the head … Shoulder dystocia risk factors. … Shoulder dystocia risk factors. … Shoulder dystocia-related claims.
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/followup.html
August 01, 2022 - The interventions include safely managing labor-inducing medications and shoulder dystocia (when delivering … the baby is difficult because the shoulder is lodged behind the mother’s pubic bone).
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/pelvic-floor-therapy-handout.pdf
April 02, 2025 - Start standing with your feet flat on the floor, shoulder width apart. … Start on all fours with wrists under shoulders and knees under hips. … Pull your shoulder blades
down your back toward your hips
2. … Simultaneously straighten and raise your left leg and right arm, keeping your
pelvis and shoulders in … Keep your head lifted and your chin parallel to the ground, shoulders should be in
line with your hips
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
May 01, 2017 - during deliveries complicated by
shoulder dystocia. … dystocia emergency. ”We had a 2-minute-and-49-
second shoulder dystocia, but we had a baby that had … This improved the documentation of
deliveries complicated by shoulder dystocia. … variability
• Variable decelerations with other characteristics, such as slow return to baseline or “shoulders … They trained staff on the use
of the shoulder dystocia module that came installed in the
EHR.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/0085episiotomycoding.xls
January 01, 2012 - Dystocia Condition/Diagnosis/Problem GROUPING n/a 2.16.840.1.113883.3.526.2.1488 "Shoulder Dystocia" … Dystocia Condition/Diagnosis/Problem GROUPING n/a 2.16.840.1.113883.3.526.2.1489 "Shoulder Dystocia" … Dystocia Condition/Diagnosis/Problem GROUPING n/a 2.16.840.1.113883.3.526.2.1490 "Shoulder Dystocia" … Dystocia Condition/Diagnosis/Problem ICD-10-CM 2012 O66.0 Obstructed labor due to shoulder dystocia … Dystocia Condition/Diagnosis/Problem SNOMED-CT 01/2012 89700002 shoulder girdle dystocia (disorder)
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www.ahrq.gov/news/blog/ahrqviews/teamstepps-30.html
September 01, 2023 - steps taken by Biden-Harris Administration to make patient safety a national priority: “AHRQ stands shoulder-to-shoulder
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/findings.html
August 01, 2022 - Shoulder dystocia management. 10 Following the adoption of the new protocol to prevent shoulder dystocia … , 99 percent of deliveries involving shoulder dystocia had a head-to-body delivery within 3 minutes, … in harm at the five participating hospitals, decreasing the rate of high-risk malpractice events for shoulder … Further, incidents of shoulder dystocia decreased 50 percent.
Shoulder dystocia-related claims. … d Shoulder dystocia is a labor complication that occurs when a baby’s shoulder is lodged behind the
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ.html
July 01, 2023 - Delivery Units
Simulation Scenarios:
Postpartum hemorrhage ( Word , 752 KB; Text Version )
Shoulder
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies.html
July 01, 2023 - Word , 1.4 MB; Text Version )
Tool: Obstetric Hemorrhage ( Word , 660 KB; Text Version )
Tool: Shoulder
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-fac-guide.html
July 01, 2023 - focus on these types of skills, such as cervical exam assessments, physical maneuvers for managing a shoulder … These emergencies could include shoulder dystocia, postpartum hemorrhage, cord prolapse, or eclamptic … Shoulder dystocia.
Umbilical cord prolapse.
Uterine tachysystole.
Antepartum hemorrhage. … may be required for some of the scenarios that require the use of specific physical maneuvers (e.g., shoulder
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-slides.html
July 01, 2023 - designed for uncommon, but serious, obstetric emergencies requiring rapid recognition and response (e.g., shoulder … Shoulder dystocia.
Umbilical cord prolapse.
Uterine tachysystole.
Antepartum hemorrhage. … Improving neonatal outcome through practical shoulder dystocia training.
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/summary.html
August 01, 2022 - practice model
The project reported a 50% drop in injuries caused by difficulties in delivery due to shoulder … dystocia (when the baby’s shoulder becomes lodged behind the mother’s pubic bone). … this project, a uniform, evidence-based obstetrics practice protocol was established for dealing with shoulder … after establishing the new guidelines, none of the 5 hospitals had any malpractice claims based on shoulder
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www.ahrq.gov/priority-populations/publications/index.html
February 01, 2025 - Strategies To Improve Management of Shoulder Dystocia Under the AHRQ Safety Program for Perinatal Care
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www.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/oklahoma.html
March 01, 2021 - These changes do not occur through lectures, but require the 'shoulder-to-shoulder' facilitation in the